HESI RN
HESI RN Exit Exam Capstone Questions
Question 1 of 5
The nurse is caring for a client with an exacerbation of chronic obstructive pulmonary disease (COPD). Which intervention is most important to promote effective breathing?
Correct Answer: A
Rationale: Diaphragmatic breathing helps improve lung expansion and oxygen exchange, promoting more effective breathing in clients with COPD. Increasing oxygen flow rate is not always appropriate and can worsen hypercapnia in these clients.
Question 2 of 5
The nurse is caring for a client with pancreatitis who is receiving total parenteral nutrition (TPN). Which assessment finding requires immediate intervention by the nurse?
Correct Answer: B
Rationale: Weakness and shakiness can indicate hypoglycemia, a potential complication of TPN. Immediate intervention is necessary to assess blood glucose levels and provide treatment as needed.
Question 3 of 5
The nurse is caring for a client receiving a blood transfusion who develops urticaria one-half hour after the transfusion has begun. What is the first action the nurse should take?
Correct Answer: A
Rationale: The infusion should be stopped immediately to prevent further reaction.
Question 4 of 5
A client is receiving morphine for postoperative pain. What is the nurse's priority assessment?
Correct Answer: A
Rationale: Monitoring respiratory rate helps assess for respiratory depression, a common side effect of morphine.
Question 5 of 5
A client is scheduled for a colonoscopy. Which preparation is the most important for the nurse to implement?
Correct Answer: D
Rationale: Verifying that the client has completed bowel prep ensures the colon is clear for accurate visualization during the procedure.
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